 0 Table of Contents |
  1 PACIO Transitions of Care Implementation Guide |
  2 Personas and Scenarios |
  3 Use Cases |
  4 General Guidance |
  5 Discipline-Specific Required DEL Information |
  6 Formal Specification |
  7 Security, Privacy, and Consent |
  8 Recommended Search Parameters |
  9 FHIR Artifacts |
   9.1 TOC CapabilityStatement |
   9.2 Transition of Care Composition |
   9.3 Reason |
   9.4 Transitions of Care DEL LOINC Terms Value Set |
   9.5 Transitions of Care LOINC Terms Answered by LL5571-6 Answer List Value Set |
   9.6 Transitions of Care LOINC Terms Included in the DEL Answered by LL5571-6 Answer List Value Set |
   9.7 Allergy List |
   9.8 Anemia Diagnosis |
   9.9 Constipation Diagnosis |
   9.10 Depression Diagnosis |
   9.11 Diabetes Diagnosis |
   9.12 Discharge Care Plan |
   9.13 Discharge Service Request for blood chemistry procedure |
   9.14 Discharge Service Request for call order |
   9.15 Discharge Service Request for complete blood count |
   9.16 Discharge Service Request for discharge SLP referral |
   9.17 Discharge Service Request for OT referral |
   9.18 Discharge Service Request for protein diet |
   9.19 Discharge Service Request for PT referral |
   9.20 Discharge Service Request for reduced salt diet |
   9.21 Dr. Anita Chu |
   9.22 Dr. Gerald Park |
   9.23 Dr. Jen Cadbury |
   9.24 Dr. Nura Mekel |
   9.25 Dr. Phil Chekhov |
   9.26 Dr. Tracy Count |
   9.27 Dressing Concerns |
   9.28 Everyday Community Pharmacy Organization |
   9.29 Happy Nursing Facility Organization |
   9.30 Heart Disease Diagnosis |
   9.31 Hemiparesis Diagnosis |
   9.32 Hyperlipidemia Diagnosis |
   9.33 Hypertension Diagnosis |
   9.34 Kidney Disease Diagnosis |
   9.35 Location of Michigan Primary Health Care Associates |
   9.36 Location of the Everyday Community Pharmacy |
   9.37 Location of the Happy Nursing Facility |
   9.38 Location of the Neuro Care Inc. facility |
   9.39 Location of the Not Every Day Contract Pharmacy |
   9.40 Michigan Primary Health Care Associates Organization |
   9.41 Minimum Data Set (MDS) Discharge Assessment - Lower body dressing |
   9.42 Minimum Data Set (MDS) Discharge Assessment - Lying to sitting on side of bed |
   9.43 Minimum Data Set (MDS) Discharge Assessment - Sit to stand |
   9.44 Minimum Data Set (MDS) Discharge Assessment - Upper body dressing |
   9.45 Minimum Data Set (MDS) Discharge Assessment - Walk 50 feet with 2 turns |
   9.46 Minimum Data Set (MDS) Nursing Home Discharge Assessment for Activities Questions - Part 1 |
   9.47 Minimum Data Set (MDS) Nursing Home Discharge Assessment Questions - Mobility Part 1 |
   9.48 Nausea and vomiting |
   9.49 Neuro Care Inc. Organization |
   9.50 Neuropathy Diagnosis |
   9.51 Not Every Day Contract Pharmacy Organization |
   9.52 OT Decondition Problem List |
   9.53 OT Right Weakness Problem List |
   9.54 Patient - Betsy Smith-Johnson |
   9.55 Role of Dr. Anita Chu |
   9.56 Role of Dr. Gerald Park |
   9.57 Role of Dr. Jen Cadbury |
   9.58 Role of Dr. Nura Mekel |
   9.59 Role of Dr. Phil Chekhov |
   9.60 Role of Dr. Tracy Count |
   9.61 Service Request to follow up with PCP |
   9.62 Stroke Diagnosis |
   9.63 Transition of Care Bundle |
   9.64 Transitions of Care Clinical Document |
   9.65 Undressing Concern |
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